Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features

Abstract Optimally preserved urinary exfoliated renal proximal tubule cells were assessed by multispectral imaging of cell autofluorescence. We demonstrated different multispectral autofluorescence signals in such cells extracted from the urine of patients with healthy or diseased kidneys. Using up...

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Main Authors: Saabah B. Mahbub, Long T. Nguyen, Abbas Habibalahi, Jared M. Campbell, Ayad G. Anwer, Uzair M. Qadri, Anthony Gill, Angela Chou, Muh Geot Wong, Martin E. Gosnell, Carol A. Pollock, Sonia Saad, Ewa M. Goldys
Format: Article
Language:English
Published: Nature Portfolio 2021-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-89758-4
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author Saabah B. Mahbub
Long T. Nguyen
Abbas Habibalahi
Jared M. Campbell
Ayad G. Anwer
Uzair M. Qadri
Anthony Gill
Angela Chou
Muh Geot Wong
Martin E. Gosnell
Carol A. Pollock
Sonia Saad
Ewa M. Goldys
author_facet Saabah B. Mahbub
Long T. Nguyen
Abbas Habibalahi
Jared M. Campbell
Ayad G. Anwer
Uzair M. Qadri
Anthony Gill
Angela Chou
Muh Geot Wong
Martin E. Gosnell
Carol A. Pollock
Sonia Saad
Ewa M. Goldys
author_sort Saabah B. Mahbub
collection DOAJ
description Abstract Optimally preserved urinary exfoliated renal proximal tubule cells were assessed by multispectral imaging of cell autofluorescence. We demonstrated different multispectral autofluorescence signals in such cells extracted from the urine of patients with healthy or diseased kidneys. Using up to 10 features, we were able to differentiate cells from individuals with heathy kidneys and impaired renal function (indicated by estimated glomerular filtration rate (eGFR) values) with the receiver operating characteristic area under the curve (AUC) of 0.99. Using the same method, we were also able to discriminate such urine cells from patients with and without renal fibrosis on biopsy, where significant differences in multispectral autofluorescence signals (AUC = 0.90) were demonstrated between healthy and diseased patients (p < 0.05). These findings show that multispectral assessment of the cell autofluorescence in urine exfoliated proximal tubule kidney cells has the potential to be developed as a sensitive, non-invasive diagnostic method for CKD.
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spelling doaj.art-5443aeae1749467793671f947216d1cc2022-12-21T21:20:41ZengNature PortfolioScientific Reports2045-23222021-05-0111111010.1038/s41598-021-89758-4Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence featuresSaabah B. Mahbub0Long T. Nguyen1Abbas Habibalahi2Jared M. Campbell3Ayad G. Anwer4Uzair M. Qadri5Anthony Gill6Angela Chou7Muh Geot Wong8Martin E. Gosnell9Carol A. Pollock10Sonia Saad11Ewa M. Goldys12Graduate School of Biomedical Engineering, UNSW SydneyKolling Institute of Medical Research, Royal North Shore HospitalARC Centre of Excellence for Nanoscale Biophotonics, UNSW SydneyARC Centre of Excellence for Nanoscale Biophotonics, UNSW SydneyARC Centre of Excellence for Nanoscale Biophotonics, UNSW SydneySchool of Mathematical and Physical Sciences, Faculty of Science, University of TechnologyKolling Institute of Medical Research, Royal North Shore HospitalKolling Institute of Medical Research, Royal North Shore HospitalKolling Institute of Medical Research, Royal North Shore HospitalQuantitative Pty LtdKolling Institute of Medical Research, Royal North Shore HospitalKolling Institute of Medical Research, Royal North Shore HospitalGraduate School of Biomedical Engineering, UNSW SydneyAbstract Optimally preserved urinary exfoliated renal proximal tubule cells were assessed by multispectral imaging of cell autofluorescence. We demonstrated different multispectral autofluorescence signals in such cells extracted from the urine of patients with healthy or diseased kidneys. Using up to 10 features, we were able to differentiate cells from individuals with heathy kidneys and impaired renal function (indicated by estimated glomerular filtration rate (eGFR) values) with the receiver operating characteristic area under the curve (AUC) of 0.99. Using the same method, we were also able to discriminate such urine cells from patients with and without renal fibrosis on biopsy, where significant differences in multispectral autofluorescence signals (AUC = 0.90) were demonstrated between healthy and diseased patients (p < 0.05). These findings show that multispectral assessment of the cell autofluorescence in urine exfoliated proximal tubule kidney cells has the potential to be developed as a sensitive, non-invasive diagnostic method for CKD.https://doi.org/10.1038/s41598-021-89758-4
spellingShingle Saabah B. Mahbub
Long T. Nguyen
Abbas Habibalahi
Jared M. Campbell
Ayad G. Anwer
Uzair M. Qadri
Anthony Gill
Angela Chou
Muh Geot Wong
Martin E. Gosnell
Carol A. Pollock
Sonia Saad
Ewa M. Goldys
Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
Scientific Reports
title Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
title_full Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
title_fullStr Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
title_full_unstemmed Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
title_short Non-invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
title_sort non invasive assessment of exfoliated kidney cells extracted from urine using multispectral autofluorescence features
url https://doi.org/10.1038/s41598-021-89758-4
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